Provider Demographics
NPI:1386304012
Name:ALVERIO PARES, CARLOS LUIS (CHIROPRACTOR)
Entity type:Individual
Prefix:DR
First Name:CARLOS
Middle Name:LUIS
Last Name:ALVERIO PARES
Suffix:
Gender:M
Credentials:CHIROPRACTOR
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 973
Mailing Address - Street 2:
Mailing Address - City:SABANA HOYOS
Mailing Address - State:PR
Mailing Address - Zip Code:00688-0973
Mailing Address - Country:US
Mailing Address - Phone:787-590-6965
Mailing Address - Fax:
Practice Address - Street 1:8761 CALLEJON LOS GONZALEZ
Practice Address - Street 2:
Practice Address - City:QUEBRADILLAS
Practice Address - State:PR
Practice Address - Zip Code:00678-9734
Practice Address - Country:US
Practice Address - Phone:787-590-6965
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-12-21
Last Update Date:2021-12-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR748111N00000X
GACHIR010294111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor